- Enrollment id
- O20171128001097
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1457889966
- Multiple npi flag
- N
- Ccn
- 741762
- Associate id
- 4486911575
- Organization name
- ALL AMERICAN STAR HOSPICE INC
- Doing business as name
- ALL AMERICAN STAR HOSPICE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 12808 W AIRPORT BLVD
- Address line 2
- STE 312
- City
- SUGAR LAND
- State
- TX
- Zip code
- 774786223